APPLICATION FOR JUNIOR MEMBERSHIP

www.boltonvillascricketclub.co.uk

 

This application form ensures that all areas of the ECB Child Welfare Policy are being addressed. After completion please return to the club’s Child Welfare Officer (Steve Wilson). A copy of the club’s Child Protection Policy is on the club’s website as are the ECB Safe Hands and Equity in Coaching policies both adhered to by the club.

 

Please use BLOCK CAPITALS

 

CHILD’S NAME…………………………………………………………………………………………………………

DATE OF BIRTH………………………………………………………………………………………………………

PARENT/GUARDIAN’S NAME………………………………………………………………………………

ADDRESS……………………………………………………………………………………………………………………

POSTCODE…………………………………………………………………………………………………………………

EMAIL ADDRESS…………………………………………………………………………………………………….

HOME TEL NO…………………………………………………………………………………………………………..

MOBILE NO……………………………………………………………………………………………………………….

EMERGENCY CONTACT & NO………………………………………………………………………………

 

By returning this completed form:

 

  • I agree to my son/daughter/child taking part in the activities of the club
  • I confirm that they will comply with the club rules and the code of conduct
  • I confirm that I understand the spirit of Parents/Spectators code of conduct
  • I give consent to the use of photography in the coaching of cricket in respect of my child
  • I understand I will be kept informed of cricket activities at the club including timings and transport details
  • I understand that in the event of any injury or illness all reasonable steps will be taken to contact me and to deal with the injury/illness appropriately
  • I am aware that should my child play for a senior team he/she may have to share changing and showering facilities and confirm they are available for selection.
  • I confirm that my child has to wear a helmet whilst batting or wicket keeping (standing up) against a hard ball.

 

Name of Parent/Guardian:

Signature of Parent/Guardian:

Date:
 

 
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